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General NPI Number Information
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NPI Number | 1609190297
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Entity Type | Organization
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Legal Business Name | R & J MEDICAL TRANSPORTATION INC
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Dates
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Enumeration Date | 03/25/2010
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Last Update Date | 03/25/2010
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Provider Practice Location Address
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Address Line | 401 W LAKE ST
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City | FRIENDSHIP
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State | WI
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Zip | 53934-9699
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Country | US
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Telephone | 608-339-9228
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Fax | 608-339-2063
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Provider Business Mailing Address
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Address Line | PO BOX 75
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City | ADAMS
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State | WI
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Zip | 53910-0075
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Country | US
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Telephone | 608-339-9228
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Fax | 608-339-2063
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Authorized Official
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Title or Position | PRESIDENT / SECRETARY
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Name | MRS. JUDY A VONDRAK
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Credential |
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Telephone | 608-339-9228
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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